ANDREW JAMES PITTINGTON, PhD, LMHC

NPI 1437349040, individual, Heber City, UT, Counselor, Mental Health

Evidence tier

structure or single-organization volume

Hours beyond a day in 4 months under one organization, which can be supervisory billing.
Records needed.
63% of Medicaid dollars are on codes with a history of abuse.

score 53 of 100, rank 8135, $2.0M at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Feb 2021	More hours than a day holds, even counting one unit per claim line	30.1	32.9	21.9	27.3	409	1	90791 90832 90834 90837 H2019	$68K
Mar 2021	More hours than a day holds, even counting one unit per claim line	30.1	35.3	23.5	28.0	474	1	90791 90832 90834 90837 H2019	$81K
Apr 2021	More hours than a day holds, even counting one unit per claim line	29.7	36.8	24.5	29.3	436	1	90791 90832 90837 H2019	$83K
Jun 2021	More hours than a day holds, even counting one unit per claim line	26.6	35.4	23.6	29.0	483	1	90791 90832 90834 90837 H2019	$76K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ANDREW JAMES PITTINGTON, PhD, LMHC
Type	Individual, sole proprietor
Status	Active
NPI issued	July 30, 2007, last updated July 18, 2025
Practice location	1128 S 820 E APT 4301, Heber City, UT 84032-5803, 407-506-9737
Mailing address	142 W LAKEVIEW AVE STE 2010, Lake Mary, FL 32746-2903
Specialties	Counselor, Mental Health (101YM0800X, license MH9410 FL) Counselor, Mental Health (101YM0800X, primary, license 12694114-6004 UT)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
90837	Psychotherapy, 1 hourhistory of abuse	$1.7M	63%	$145	$191 (top 5% from $442)	29th percentile
H2019	Therapeutic behavioral services per 15 min	$631K	23%	$130	$226 (top 5% from $1K)	21st percentile
90791	Psychiatric diagnostic evaluation	$200K	7%	$88	$105 (top 5% from $228)	35th percentile
90834	Psychotherapy, 45 minutes	$82K	3%	$76	$101 (top 5% from $318)	33rd percentile
H2000	Medicaid service code	$63K	2%	$157	$173 (top 5% from $548)	42nd percentile
90832	Psychotherapy, 30 minutes	$23K	1%	$35	$59 (top 5% from $239)	29th percentile

In this area

43 providers in UT carry an indicator in the public record, with $24.3M at stake between them. The most common is part of a provider network, on 32 of them, followed by more hours than a day holds on 11.

tier	provider	at stake	why
2	STEVEN NEWMAN Cedar City, UT, ranked 690	$4.4M	Billed more hands-on hours than a day holds in 1 month, peaking at 25.2 hours per day across 3 billing organizations. Medicaid dollars per patient on code 96372 ($468 per patient-month) sit in the top 5% of every provider billing that code.
2	CASEY STELTER Layton, UT, ranked 748	$30K	Billed more hands-on hours than a day holds in 1 month, peaking at 4.7 hours per day across 3 billing organizations.
3	IVY LANE PEDIATRICS, LLC South Ogden, UT, ranked 767	$5.1M	Part of provider network D1-00040, ranked 40 nationally. Medicaid dollars per patient on code T1001 ($1652 per patient-month) sit in the top 5% of every provider billing that code.
3	HOME CAREGIVERS PARTNERSHIP, LLC Murray, UT, ranked 797	$618K	Part of provider network D1-00128, ranked 128 nationally. Medicaid dollars per patient on code T1005 ($1808 per patient-month) sit in the top 5% of every provider billing that code.
3	HOME CAREGIVERS PARTNERSHIP LLC Murray, UT, ranked 1189	$397K	Part of provider network D1-00128, ranked 128 nationally.
3	BRISTOL HOSPICE - UTAH II, L.L.C. Murray, UT, ranked 1333	$125K	Part of provider network D1-00104, ranked 104 nationally.
3	KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT Cedar City, UT, ranked 1467	$29K	Part of provider network D1-00128, ranked 128 nationally.
3	KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT Springville, UT, ranked 1490	$21K	Part of provider network D1-00128, ranked 128 nationally.

All 43 in UT

Recent enforcement in UT

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedAug 26, 2026

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DOJIndictedMay 12, 2026

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